1802 Covington Lane
Use BLUE or BLACK Ink
For Office Use
ermit f I l/ I
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41' My of I P
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3830 Pilot Knob Road Permit Fee: .
Eagan MN 55122 I a 1
Phone: (651) 675-5675 1 Date Received: i 1
Fax: (651) 675-5694 I I
Staff:
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2013 MECHANICAL PERMIT APPLICATION
❑ Please submit two (2) sets of plans with all commercial applications. `
Date: 112- -1 $ Site Address: 19072- C-0 uk e )!R:, nr)
Tenant: ~t Suite
Resident/Owner Name: /A I , Phone: 77 15 ' „22.,2- -'1 '7 Z2
Address /City/Zip: Z C v r
Name 1-e_ .1... A , r- License
Contractor Address: 1 CC 1 S Ltl Sr .51- Su i A City: k ^ c G 42~ 1 ~-_S
State: M-~ Zip: 5S 46-1 Phone: b rz- - 7Z I ` l$~i
Contact:-, L Email:
New Replacement Additional Alteration Demolition
Type of Work Description of work:
NOTE: Roof mounted and ground mounted mechanical equipment is required to be screened by City
Code. Please contact the Mechanical Inspector for information on permitted screening methods.
RESIDENTIAL COMMERCIAL
Furnace New Construction Interior Improvement
Permit Type - Air Conditioner Install Piping Processed
Air Exchanger Gas Exterior HVAC Unit
Heat Pump Under/Above ground Tank Install Remove)
Other
RESIDENTIAL FEES
$60.00 Minimum Add or alteration to an existing unit (includes $5.00 State Surcharge) oU
$100.00 Residential New (includes $5.00 State Surcharge) _ $ 60 TOTAL FEE
COMMERCIAL FEES Contract Value $ X.01
$55.00 Permit Fee Minimum
$70.00 Underground tank installationlremoval Permit Fee
*If contract value is LESS than $10,010, Surcharge = $5.00 Surcharge*
**If contract value is GREATER than $10,010, Surcharge = Contract Value x $0.0005
***If the project valuation is over $1 million, please call for Surcharge = $ ~d ~O TOTAL FEE
I hereby acknowledge that this information is complete and accurate; that the work will be i nformance h ordinances and codes of the City of
Eagan; that I understand this is not a permit, but only an application for a permit, and work is of to tart wit ou a it; that the wo will be in accordance
with the approved plan in the case of work which requires a review and approval of plans.
x 1_J2c~r, ®~ncr x
Applicant's Printed Name Applica 's Signature
FOR OFFICE USE
Required Inspections: Reviewed By: Date:
Underground Rough In Air Test Gas Service Test In-floor Heat Final HVAC Screening
PERMIT
City of Eagan Permit Type:Mechanical
Permit Number:EA132782
Date Issued:09/03/2015
Permit Category:ePermit
Site Address: 1802 Covington Lane
Lot:1 Block: 15 Addition: Ridgecliffe 5th
PID:10-63984-15-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Air Conditioner
Comments:Questions regarding electrical permit requirements should be directed to State Electrical Inspector, Mark Anderson at (952)
445-2840.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Fee Summary:ME - Permit Fee (Replacements)$59.00 0801.4088
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Joanne M Magnuson
1802 Covington Lane
Eagan MN 55122
Robert Boldt Hvac
4310 Trenton Tr
Eagan MN 55123
(651) 454-7760
Applicant/Permitee: Signature Issued By: Signature
PERMIT
City of Eagan Permit Type:Plumbing
Permit Number:EA138015
Date Issued:08/03/2016
Permit Category:ePermit
Site Address: 1802 Covington Lane
Lot:1 Block: 15 Addition: Ridgecliffe 5th
PID:10-63984-15-010
Use:
Description:
Sub Type:Residential
Work Type:Replace
Description:Water Heater
Meter Size Meter Type Manufacturer Serial Number Remote Number Line Size
Comments:Please call Building Inspections at (651) 675-5675 to schedule a final inspection.
Carbon monoxide detectors are required within 10 feet of all sleeping room openings in residential homes (Minnesota State
Building Code).
Fee Summary:PL - Permit Fee (WS &/or WH)$59.00 0801.4087
Surcharge-Fixed $1.00 9001.2195
$60.00 Total:
I hereby acknowledge that I have read this application and state that the information is correct and agree to comply with all applicable State
of Minnesota Statutes and City of Eagan Ordinances.
Contractor:Owner:- Applicant -
Joanne M Magnuson
1802 Covington Lane
Eagan MN 55122
(612) 991-4898
Warner Stellian Co Inc
550 Atwater Circle
St Paul MN 55103
(651) 222-0011
Applicant/Permitee: Signature Issued By: Signature